Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK D. JOHNSON, OD
ActiveMARK D. JOHNSON, OD is a Optometrist healthcare provider located in SCOTT AFB, Illinois. NPI 1881665073 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SCOTT AFB, IL
Registration Details
- NPI Number
- 1881665073
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2006 (20.543901506337 yrs)
- Last Updated
- Aug 8, 2018
- Licenses
-
18002934A (IN)046010751 (IL)
Practice Information
- Address
-
310 W LOSEY STSCOTT AFB, IL, 62225Browse IL providers · Browse ZIP 62225
- Phone
- 6182566267
- Fax
- 6182567931
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in SCOTT AFB, IL
| Name | Credential | NPI |
|---|---|---|
| DR. NIKKI L BEADLE | O.D | 1306198155 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.